This is part of the physical exam and I can't tell if she is saying "Head" as a topic or "Had" and then something that sounds like "entry or possibly adrenal continentals open?" I think she is referring to the eyes but can't figure out what she is saying. Any suggestions? Thanks! ...
You know most dictators say this at the end of an operative report- "The patient was (awoke, awaken?) from anesthesia and taken to the recovery room in stable condition." I would like to know once and for all what is the correct word to use- awoke, awaken or something else???
Thanks, Christine ...
Hyperlipidemia/hypertriglyceridemia. Triglycerides are higher on the Zetia. He is also noticing side effects; therefore, Zetia was discontinued. Discussed the correlation between the fish oil and prostate cancer. We will switch to _____ oil 4 grams daily.
This word definitely starts with a C or a K and it is a short word, but I cannot figure out what other oil supplementation is used for hyperlipidemia. Help please. ...
This is driving me crazy! My main account has several docs that dictate their review of systems and PE out of body system order, like instead of the neck head down, they dictate the abdomen or extremities first. ...
The patient exercised today on a 2-minute children’s treadmill protocol. I chose this protocol since there is (s/l) *low-order* or *well-order* ramp which I thought would be less likely to cause pelvic discomfort. ...
This is a psych report talking about different test scores. The doc says "_____ Speech Index test score is 68." I cannot tell at all what she is saying, but i think it starts with a "P." ...
started new account for fertility account. doctor refers to a fertility drug Micronor and always says "ellis and Micronor". Any help would be appreciated. ...
This one dictator keeps saying this and I cannot find it anywhere. It sounds like the uterus was then sounded to Fostix/Caustix/Bostix sound??? and sounded to 6 cm. Any ideas? Thx ...
I know I have come across the answer to this question in the past, but can't seem to put my fingers on it now...... 1. CP 2/3. BOS then Standards OR Standards then BOS?
In reference to the q.h.s. question... since all 3 references usually appear somewhere on each CP, would not q.h.s. vs nightly depend on the order of reference materials used? The vast majority of my CPs have "BOS and Standards" at top and JCAHO at the bottom. ...
I was just wondering if I wanted to acquire a few clients on my own, what type of software do I need besides something like Express Scribe? Those of you who have your own accounts, what do you use?
Thank you :) ...
I'm stuck on one of my assigments for a Holter Monitor Reading. All I can hear is "this is a 48-year-old patient undergoing _____ atrial flutter." It sounds like he is saying "equito" something, but he's talking so fast I really have no clue. Any ideas? Thanks! ...
sounds like gadling gun.
Op Note: A 2-cm incision was made on the lateral aspect of his femur. K-wire was introduced at the calcar midshaft. This was checked in both AP and lateral, appeared to be correct. _____ gun was used to place 2 other pins and they were sized appropriately and drill was used to overdrill the lateral cortex. Appropriate size screws were placed.
I looked at an old report this "gun" was also used to place K-wires. ...
I see this now at the top of some reports. Anyone have any idea what this means exactly? I remember reading about it in the DQS 6.1 update, but my screen looks nothing like that. I've just been transcribing as usual. ???? Am I missing something? ...
Looking through archives here for info on a couple of companies, who uses ChartNet and so forth... there is NO order to the way posts are listed. Why is that? It should be an easy fix and soooooooooo helpful! ...
I have a couple dictators who dictate impression/plan at the beginning of their reports. This comes through in ASR and so I have been leaving these at the beginning of the report even though it is not the way I was taught to do traditional H&P, consultation reports. I am not on a verbatim account. Also, the client profile does not mention this at all. Is it okay to leave the imp/plan at the top of report, or should I change these? ...
Just bought Flip USB with audio KVM switch in order to be able to have 1 dedicated computer for work only and the other computer for unrelated work items. Have never used one of these before and just wondering if you were in your work program on 1, if you switch over to the other computer for say checking email, does the work computer shut down? I would hate for that to happen and perhaps lose work. Thanks. ...
With all this talk of people being audited more frequently, including myself. I thought I'd try to help out a little. MModal follows 4 documents when it comes to formatting, and they are really cracking down on it. They have a certain order in which to follow, one trumping the other. If you can't find what you are looking for in the first document, move on to the next one. Here's the order:
1. Client profile - this will list any exceptions to t ...